n International SportMed Journal - Varicocele and sports participation : FIMS position statement

Volume 9, Issue 3
  • ISSN : 1528-3356



Varicocele is an abnormal dilatation of the pampiniform venous plexus that surrounds the testis resulting from venous incompetence of the spermatic veins. Varicocele is the most frequent physical finding in infertile men and also is the most common andrological disease found during a male physical examination.

Varicocele occurs on the left side in 78-93% of cases, but it occurs more frequently as bilateral disease than previously documented. Varicocele is graded by an arbitrary scheme as grade I (small with palpable distension detected only during a Valsalva manoeuvre), grade II (moderate with easily palpable distension on upright examination), grade III (large with visible veins on upright examination).

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